Which procedure would minimize the appearance of wide and indented scar near the eye area? (photo)

Question

Hi there, I have a scar that is quite close to my eye that really bothers me as it’s quite wide and indented. It’s about 1cm long. I have tired needling which helped somewhat but I would love to know what other options there are.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

Microneedling, which I have been performing for twenty-three years is an excellent method for improving superficial skin texture and color irregularities; it's a more like a final "polishing" step, rather than a primary treatment for scars. So, I am not surprised by your lack of success with it. Subcision, which I have been performing since 1995, on the other hand, has a nearly three decades' long track record for safety and efficacy in elevating and smoothing all kinds of indented scars in all skin types. You would be wise to consult with an experienced board certified cosmetic dermatologist and make sure to exercise a hefty dose of "buyer beware" if hawked expensive fraxel or RF gizmo treatments, as these "bells and whistles" are backed far more by marketing hype and social media buzz than any hard science.  Hope this helps and best of luck.

Which procedure would minimize the appearance of wide and indented scar near the eye area? (photo)

Answers (2)

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